Suicide risk factors among Australian Vietnam era draftees. 1995

B I O'Toole, and C Cantor
Department of Psychiatry, University of Queensland, Australia.

The cohort of all Australian former army conscripts of the Vietnam conflict ea was followed from 1965 to 1982 to determine mortality rates and causes of death following completion of their National Service. Suiciders were compared with a random sample of survivors using information contained in their military documents in a nested case-control study. Their military document information was recorded before men were selected for Vietnam service and is uncontaminated by "recall bias." Suicide victims had lower mean scores on the army general intelligence and mechanical comprehension tests, were less likely to have continued education beyond high school, were less likely to be employed in white-collar or skilled blue-collar jobs between leaving school and being drafted, and more likely to have volunteered for the draft. They were more likely to have committed a civilian offense before joining the army, more likely to have gone absent without leave (AWOL), and more likely to have committed other offenses during military service. Suiciders were more likely to have a history of diagnosis and treatment for psychological disorder during service and to be judged to be less than emotionally stable at discharge. Service in Vietnam was not associated with suicide. A log-linear regression model was used to analyze death rates associated with five types of variables: cognitive abilities, education, preservice employment, conduct while in service, and physical and mental health. This analysis produced a model containing only four variables: intelligence test score, postschool education, AWOL charge during service, and history of diagnosis and treatment of psychological problems. The difference in death rates between high scorers on these items and low scorers was 46-fold, from 5.2 to 240.9 per 10,000 person-years.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D002423 Cause of Death Factors which produce cessation of all vital bodily functions. They can be analyzed from an epidemiologic viewpoint. Causes of Death,Death Cause,Death Causes
D003415 Crime A violation of the criminal law, i.e., a breach of the conduct code specifically sanctioned by the state, which through its administrative agencies prosecutes offenders and imposes and administers punishments. The concept includes unacceptable actions whether prosecuted or going unpunished. Kidnapping,Poaching,Crimes,Kidnappings
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000092864 Suicide Prevention Specific strategies for averting suicides. These include mental HEALTH PROMOTION and monitoring PSYCHOLOGICAL WELL-BEING and other intervention programs targeting susceptible individuals. Suicide Awareness,Awareness, Suicide,Prevention, Suicide,Suicide Preventions
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000342 Affective Symptoms Mood or emotional responses dissonant with or inappropriate to the behavior and/or stimulus. Alexithymia,Emotional Disturbances,Affective Symptom,Alexithymias,Disturbance, Emotional,Disturbances, Emotional,Emotional Disturbance,Symptom, Affective,Symptoms, Affective
D001315 Australia The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra. Canton and Enderbury Islands,Christmas Island,Christmas Island (Australia)

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